Individual
AMANDA KANARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11631 VICTORY BLVD, #203, NORTH HOLLYWOOD, CA 91606-3572
(818) 908-3855
(818) 753-5265
Mailing address
PO BOX 1381, SUN VALLEY, CA 91353-1381
(818) 908-3855
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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